Active NPI
Andrea M. Simonson, PHD, CCC-A
- Audiologist
- Needham, MA
National Provider Identifier
1841469624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 606
- Practice address
- 560 Hillside Ave
Needham, MA 02494-1232 - Phone
- (617) 524-3864
- NPI assigned
- Feb 26, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 606 | MA | Primary |
Addresses
Primary practice location
560 Hillside Ave
Needham, MA 02494-1232
Mailing address
560 Hillside Ave
Needham, MA 02494-1232
Phone (617) 524-3864
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5104491 | Medicaid | MA | |
| AA143253 | Other | MA | HARVARD PILGRIM HEALTHCARE |
| 097372 | Other | MA | TUFTS |
| AD0206 | Other | MA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 606 | MA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosenberg Audiology Inc. | Past | Accepting new patients | |
| Audiology Services Inc | Audiologist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist
- Belmont, MA
- NPI 1780789792
-
- Audiology Assistant
- Belmont, MA
- NPI 1265920433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443139200000",
"number": "1841469624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 HILLSIDE AVE",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024941232",
"telephone_number": "617-524-3864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 HILLSIDE AVE",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024941232",
"telephone_number": "617-524-3864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONSON",
"first_name": "ANDREA",
"middle_name": "M.",
"credential": "PHD, CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-26",
"last_updated": "2015-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "606",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5104491",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCARE",
"identifier": "AA143253",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "097372",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AD0206",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.